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Blood in urine (hematuria) : Causes, Types, Symptoms, Diagnosis and Treatment

 What is Blood in urine (hematuria)?

Blood in your excretory product may be a signal of varied medical conditions, specially those poignant the kidneys, bladder, urinary tract, or prostate.


It’s natural to feel involved if you notice blood in your urine. Visible blood in your urine is understood as a gross symptom. Blood in your urine that can’t be seen would possibly} be detected solely with a magnifier is known as microscopic hematuria.

Blood in your urine -- your doctor might decide it is hematuria -- isn't one thing you ought to ignore.


It can be a sign of a significant medical condition. Tell your doctor regarding it; they will order tests to see for the cause.


symptom is simply a symptom, thus treatment will target the condition inflicting it.


What is Blood in urine (hematuria)



Explanation of medical terms and concept Blood in urine (hematuria)

Seeing blood in your urine can be alarming. While in several instances the cause is harmless, blood in piss (hematuria) will indicate a heavy disorder. Blood that you simply can see is termed gross hematuria. Urinary blood that' visible solely beneath a magnifier (microscopic hematuria) is found once your doctor tests your urine. Either way, it's necessary to work out the rationale for the bleeding. Treatment depends on the cause. 

Blood in the urine (hematuria) can be caused by many different things. Finding out exactly what it is usually requires a visit with your doctor.

The most common cause of hematuria is an infection (usually a urinary tract infection or UTI) in your bladder or urethra But blood may also come from the kidneys and this may be a symptom of more serious conditions such as kidney cancer or polycystic kidney disease Other possible causes include trauma to your urinary system and certain types of cancers but these are rarer Hematuria can also be caused by certain medications such as those that reduce red blood cells in the body (like aspirin) and those given after surgery to prevent clotting.

Blood in your urine can come from your kidneys, which make urine. It also can come from other parts of your urinary tract, such as your:

  • Ureters (the tubes from your kidneys to your bladder)

  • Bladder (which stores urine)

  • Urethra (the tube from your bladder to the outside of your body)

Symptoms Blood in urine (hematuria)

Gross haematuria produces pink, red or cola-colored excretory product because of the presence of red blood cells. It takes little blood to supply red urine, conjointly the} injury typically isn't painful. Passing blood clots in your urine, however, will be painful. Bloody urine often happens while not different signs or symptoms. If your urine is pink, red, or brown, you'll be experiencing hematuria. attiny low quantity of blood will modify the color of your urine, however you may also notice that you just are passing large blood clots. discolored urine, however, doesn't mean that you have blood in your excretory product. bound foods love blackberries, rhubarb, and beets, likewise as some medications and vitamins, will amend the color of your urine.  Regardless, it’s best to consult your doctor anytime that your urine is discolored to see whether or not the change is harmless or more serious. further symptoms which may accompany blood in urine can include: 

  • Discomfort or pain while urinating

  • Urgent need to urinate

  • Frequent need to urinate

  • Weight loss

  • Inability to urinate

  • Fever

  • Nausea or vomiting

  • Abdominal pain

  • Chills

When to see a doctor

Make an arrangement to envision your doctor anytime you notice blood in your water. Some medications, comparable to the laxative Ex-lax, and certain foods, together with beets, rhubarb and berries, will cause your urine to show red. A modification in urine color caused by drugs, food or exercise might depart among some days. Bloody urine appears different, however you would possibly not be able to tell the difference. It's best to see your doctor anytime you see red-colored urine. 

Causes Blood in urine (hematuria)

When you experience hematuria, red blood cells leak from your kidneys or your tract into your body waste. Blood in your urine isn't invariably an indication of a heavy medical condition, however it ought to be taken as a wake-up call that one thing may be wrong. haematuria will be a sign of the many totally different medical conditions,In hematuria, your kidneys — or different elements of your urinary tract — enable blood cells to leak into urine. numerous issues can cause this leakage, including:

  • Urinary tract infections. These occur once bacteria enter your body through the duct and multiply in your bladder. Symptoms will embody a persistent urge to urinate, pain and burning with urination, and very strong-smelling urine. For a few people, particularly older adults, the sole sign of unhealthiness could be microscopic blood within the urine. 

  • Kidney infections (pyelonephritis). These can occur when bacteria enter your kidneys from your bloodstream or move from your ureters to your kidney(s). Signs and symptoms are often similar to bladder infections, though kidney infections are more likely to cause a fever and flank pain.

  • A bladder or kidney stone. The minerals in targeted water typically kind crystals on the walls of your excretory organs or bladder. Over time, the crystals can become small, laborious stones. The stones are usually painless, so you almost certainly won't understand you've got them unless they cause a blockage or are being passed. Then there' usually no misinterpretation the symptoms — kidney stones, especially, can cause torturing pain. Bladder or kidney stones may also cause gross and microscopic bleeding. 

  • Enlarged prostate. The endocrine gland — that is simply below the bladder associated with the highest part of the canal — usually enlarges as men approach middle age. It then compresses the urethra, partly interfering with water flow. Signs and symptoms of an enlarged prostate (benign prostate hyperplasia, or BPH) embrace problem urinating, an pressing or persistent ought to urinate, and either visible or microscopic blood within the urine. Infection of the prostate (prostatitis) will cause constant signs and symptoms. 

  • Kidney disease. Microscopic urinary trauma could be a common symptom of glomerulonephritis, AN inflammation of the kidneys' filtering system. Bright's disease could also be a part of a general disease, akin to diabetes, or it will occur on its own. infective agent or strep infections, vas diseases (vasculitis), and immune issues such as immune gamma globulin nephropathy, that affects the tiny capillaries that filter blood within the kidneys (glomeruli), can trigger glomerulonephritis. 

  • Cancer. Visible urinary bleeding may be a sign of advanced kidney, bladder or prostate cancer. Unfortunately, you might not have signs or symptoms in the early stages, when these cancers are more treatable.

  • Inherited disorders. Sickle cell anemia — a hereditary defect of hemoprotein in red blood cells — causes blood in urine, each visible and microscopic hematuria. therefore will Alport syndrome, that affects the filtering membranes within the glomeruli of the kidneys. 

  • Kidney injury. A blow or other injury to your kidneys from an accident or contact sports can cause visible blood in your urine.

  • Medications. The anti-cancer drug cyclophosphamide and antibiotic drug will cause urinary bleeding. Visible urinary blood typically happens if you are taking an anticoagulant, appreciate Empirin and also the blood diluent heparin, and you furthermore might have a condition that causes your bladder to bleed. 

  • Strenuous exercise. It's rare for strenuous exercise to guide to gross hematuria, and therefore the cause is unknown. it should be joined to trauma to the bladder, dehydration or the breakdown of red blood cells that happens with sustained aerobic exercise. Runners are most frequently affected, though anyone will develop visible urinary hemorrhage when an intense workout. If you see blood in your water after exercise, don't assume it's from exercising. See your doctor. 

Often the cause of hematuria can't be identified.

Risk factors Blood in urine (hematuria)

Almost anyone — together with youngsters and teenagers — will have red blood cells within the urine. Factors that create this additional doubtless include:

  • Age. Many men older than 50 have occasional hematuria due to an enlarged prostate gland.

  • A recent infection. Kidney inflammation, once a microorganism or microorganism infection (post-infectious glomerulonephritis) is one in every one of the leading causes of visible urinary blood in children. 

  • Family history. You might be more prone to urinary bleeding if you have a family history of kidney disease or kidney stones.

  • Certain medications. Aspirin, nonsteroidal anti-inflammatory pain relievers and antibiotics such as penicillin are known to increase the risk of urinary bleeding.

  • Strenuous exercise. Long-distance runners are particularly susceptible to exercise-induced urinary bleeding. In fact, the condition is usually known as jogger' hematuria. However, anyone who works out strenuously will develop symptoms. 

Diagnosis Blood in urine (hematuria)

Your doctor can raise your medical record and send a sample of your pee for laboratory tests. This is often referred to as urinalysis. The tests may embody cytology, during which a technician uses a magnifier to appear for uncommon cells. Your doctor might order blood tests to look for wastes that your excretory organs are speculated to remove. This might be an indication of kidney disease.

The following tests and exams play a key role in finding a cause for blood in your urine:

  • Physical exam, which includes a discussion of your medical history.

  • Urine tests. Even if your injury was discovered through excrement, take a look ating (urinalysis), you're able to have another test to check if your urine still contains red blood cells. A qualitative analysis may also check for a tract infection or the presence of minerals that cause urinary organ stones. 

  • Imaging tests. Often, an imaging test is required to find the cause of hematuria. Your doctor might recommend a CT or MRI scan or an ultrasound exam.

  • Cystoscopy. Your doctor threads a slim tube fitted with a small camera into your bladder to look at the bladder and duct for signs of disease. Sometimes, the explanation for urinary hemorrhage can't be found. In this case, your doctor would possibly advocate regular follow-up tests, particularly if you have got risk factors for bladder cancer, love smoking, exposure to environmental toxins or a history of radiation therapy. 

Treatment Blood in urine (hematuria)

your doctor can treat the condition that’s inflicting blood in your piddle. Then, they’ll take a look at you once {more} to ascertain if the blood is gone. If you continue to have blood in your urine, you would like more tests, otherwise you might even see a specialist referred to as a specialist or nephrologist. If your doctor can’t realize a cause throughout the primary evaluation, they could tell you to do follow-up urine testing and force per unit area observation every three to six months, particularly if you have got risk factors for bladder cancer. These embrace being fifty or older, smoking cigarettes, and returning into contact with certain industrial chemicals. counting on the condition inflicting your hematuria, treatment may involve taking associate degree antibiotics to clear a tract infection, making an attempt at a prescription medication to shrink an enlarged prostate or having wave medical care to interrupt up bladder or urinary organ stones. In some cases, no treatment is necessary. make sure to follow up together with your doctor when treatment to confirm there's not a lot of blood in your urine. 

Preparing for your appointment

You're doubtless to begin by seeing your GP or medical care provider. otherwise you may well be noted as a doctor who focuses on tract disorders (urologist). Here's some info to assist you brace yourself for your appointment.

What you can do

Make a list of:

  • Your symptoms, including any that may seem unrelated to the reason for which you scheduled the appointment, and when they began

  • Key medical information, including other conditions for which you're being treated, and whether bladder or kidney diseases run in your family

  • All medications, vitamins or other supplements you take, including doses

  • Questions to ask your doctor

For hematuria, some questions to ask include:

  • What are the possible causes of my symptoms?

  • What tests do I need?

  • Is my condition likely temporary?

  • What treatments are available?

  • I have other health issues. How can I best manage them together?

  • Are there brochures or other printed material that I can have? What websites do you recommend?

Don't hesitate to ask other questions.

What to expect from your doctor

Your doctor is likely to ask you questions, such as:

  • Do you have pain when you urinate?

  • Do you see blood in your urine only sometimes or all the time?

  • When do you see blood in your urine — when you start urinating, toward the end of your urine stream or the entire time you're urinating?

  • Are you also passing blood clots during urination? What size and shape are they?

  • Do you smoke?

  • Are you exposed to chemicals on the job? What kinds?

General summary

Hematuria is a condition in which red blood cells or hemoglobin are present in the urine. In this article we will explore different types of hematuria and how long it takes for hematuria to go away.

What is the most common cause of hematuria?

The most common cause of hematuria is from trauma to the urinary system Common causes include but are not limited to: kidney stones urinary tract infections (UTIs) and bladder cancer There are rare occasions where bleeding in the kidneys or ureter can also be a frequent cause of hematuria This type of bleeding usually results with blood clots causing masses in either the kidney or ureter.

What does a urologist do when you have blood in your urine?

Urologists are specialists who treat conditions of the urinary tract and male reproductive organs Urology suffers come to them for advice and treatment for problems with urinating sex organs or both A urologist typically diagnoses problems with a patient's bladder prostate gland and kidneys Because bleeding in urine can indicate virtually any condition imaginable it is rarely associated specifically with a particular disease process In fact tiny amounts of blood in urine may simply be due to an abnormally large red blood cell (erythrocyte) In other words it is entirely normal to see blood after strenuous physical activity such as intense exercise or heavy lifting.

What home remedy stops blood in urine?

Studies show that cranberry juice stops blood in urine due to its acidic nature If you experience frequent burning sensations while urinating and notice small amounts of blood in your urine try drinking more cranberry juice.

Is cystoscopy necessary after a CT scan?

While cystoscopy or inspection of the bladder using a scope is not usually done after a patient undergoes CT scanning of his bladder at times it may be recommended Traditional CT scans are more advanced and provide more details than plain X-rays that reveal any internal damage in the bladder wall and surrounding tissues caused by tumors or inflammation While the use of CT scan to detect external abnormalities such as tumor or stones in the urinary tract is widespread evidence suggests that CT scans can also be useful for detecting problems with the lining of the bladder and blood vessels within this organ.

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Blood in urine (hematuria) : Causes, Types, Symptoms, Diagnosis and Treatment

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